WQ0005790_NOV-2024-LV-0702_20240815

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■ Complete Items 1, 2, and 3. A. Signature
■ Print your name and address on the reverse X O Agent
so that we can return the card to you. r-1 ^
■ Attach this card to the back of the mallplece, S•� ' ed by (Printed Name) J C. uate of Oeivery,
or on the front if space permits. c1 is a
1. Article Atldleased t , ,y-;, . ,g „ _ D. Is delivery address different from Rem 19 O Yes
�!� If YES, enter delivery address below. p No
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II I'IIIII IIII III I II II II III I II III I it II IIIIII III o Adult vSignature eRestricted. DEl elivery ❑ Rrlont red Mail R 1rlcied
❑ Registered MalFa
9590 9402 8766 3310 3312 56 I$ Certified Mail® Delivery
❑ Certified Mail Restricted Delivery ❑ Signature ConiirmatlonrM
O Collect on Delivery ❑ Signature Confirmation
fr,,m service label)' ❑ Collect on Delivery Restricted Delivery Restricted Delivery
red Mall
7021 0950 0001 1209 9266
Ired Mall ReaMcied Delivery
$500)
PS Form 3811, July 2020 PSN 7530.02.000-g053
Domestic Return Receipt
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